Individual
MISS STEPHANIE A ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RRT
Contact information
Practice address
250 HOSPITAL PL, SOLDOTNA, AK 99669-7559
(907) 714-4437
Mailing address
250 HOSPITAL PL, SOLDOTNA, AK 99669-7559
(907) 714-4437
Taxonomy
Speciality
Code
Description
License number
State
2279C0205X
Critical Care Registered Respiratory Therapist
Primary
A-5583
NC
Other
Enumeration date
03/24/2011
Last updated
03/24/2011
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